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Although this mechanism could not be tested directly in the present study because body mass index data were largely unavailable, it offers a plausible partial explanation for the divergent findings between the two former-smoker subgroups that does not require invoking a direct antihypertensive effect of e-cigarette use

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In 2019, the American College of Cardiology concluded that vape users may be significantly more likely to suffer from a heart attack, coronary artery disease and depression

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